Active NPI
Lakeville Community Chiropractic
- Chiropractor
- Lakeville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5097
- Legal business name
- LAKEVILLE COMMUNITY CHIROPRACTIC
- Practice address
- 17305 Cedar Ave S
Suite 250
Lakeville, MN 55044-3901 - Phone
- (612) 360-3483
- NPI assigned
- Sep 16, 2008
- Last updated
- Sep 16, 2008
- Organization subpart
- Yes
- Parent organization
- LAKEVILLE COMMUNITY CHIROPRACTIC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Daniel Grimes, D.C.
- Title
- Owner
- Phone
- (612) 360-3483
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5097 | MN | Primary |
Addresses
Primary practice location
17305 Cedar Ave S
Suite 250
Lakeville, MN 55044-3901
Mailing address
15677 Hayes TRL
Apple Valley, MN 55124-7137
Phone (952) 432-2313
National Provider Directory
National Provider Directory- Part of
- Lakeville Community Chiropractic
Locations
17305 Cedar Ave S
Ste 250
Lakeville, MN 55044
Phone (612) 360-3483
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Lake Crystal, MN
- NPI 1578730701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221523200000",
"number": "1912156795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15677 HAYES TRL",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551247137",
"telephone_number": "952-432-2313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17305 CEDAR AVE S",
"address_2": "SUITE 250",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550443901",
"telephone_number": "612-360-3483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEVILLE COMMUNITY CHIROPRACTIC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LAKEVILLE COMMUNITY CHIROPRACTIC",
"enumeration_date": "2008-09-16",
"last_updated": "2008-09-16",
"status": "A",
"authorized_official_last_name": "GRIMES",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-360-3483",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeville, MN
- John E Laco, DPM
- Lake Marion Chiropractic Center PA
- Lake Marion Dental Care
- Lakeville Assisted Living LLC
- Lakeville Behavioral Health, LLC
- Lakeville Dental Associates, P.a.
- Lakeville Dental Associates, PA
- Lakeville Family Dental Center, P.L.L.C.
- Lakeville Family Dental Centre PA
- Lakeville Family Eye Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.